Davis Stephanie, O'Ferrall Ilse, Hoare Samuel, Caroline Bulsara, Mak Donna B
School of Medicine, Fremantle, University of Notre Dame Australia, Western Australia, Australia.
School of Nursing and Midwifery, University of Notre Dame, Australia.
Int J Med Educ. 2017 Jul 7;8:244-251. doi: 10.5116/ijme.592a.a936.
This study explores how medical graduates and their workplace supervisors perceive the value of a structured clinical audit program (CAP) undertaken during medical school.
Medical students at the University of Notre Dame Fremantle complete a structured clinical audit program in their final year of medical school. Semi-structured interviews were conducted with 12 Notre Dame graduates (who had all completed the CAP), and seven workplace supervisors (quality and safety staff and clinical supervisors). Purposeful sampling was used to recruit participants and data were analysed using thematic analysis.
Both graduates and workplace supervisors perceived the CAP to be valuable. A major theme was that the CAP made a contribution to individual graduate's medical practice, including improved knowledge in some areas of patient care as well as awareness of healthcare systems issues and preparedness to undertake scientifically rigorous quality improvement activities. Graduates perceived that as a result of the CAP, they were confident in undertaking a clinical audit after graduation. Workplace supervisors perceived the value of the CAP beyond an educational experience and felt that the audits undertaken by students improved quality and safety of patient care.
It is vital that health professionals, including medical graduates, be able to carry out quality and safety activities in the workplace. This study provides evidence that completing a structured clinical audit during medical school prepares graduates to undertake quality and safety activities upon workplace entry. Other health professional faculties may be interested in incorporating a similar program in their curricula.
本研究探讨医学毕业生及其工作场所主管如何看待医学院期间开展的结构化临床审计项目（CAP）的价值。
圣母大学弗里曼特尔分校的医学生在医学院最后一年完成一个结构化临床审计项目。对12名圣母大学毕业生（均完成了CAP）和7名工作场所主管（质量与安全人员及临床主管）进行了半结构化访谈。采用目的抽样法招募参与者，并使用主题分析法对数据进行分析。
毕业生和工作场所主管都认为CAP很有价值。一个主要主题是，CAP对毕业生个人的医疗实践有贡献，包括在患者护理的某些领域知识有所提高，以及对医疗系统问题的认识和开展科学严谨的质量改进活动的准备。毕业生认为，由于CAP，他们毕业后对进行临床审计有信心。工作场所主管认为CAP的价值不仅仅在于教育经历，还认为学生进行的审计提高了患者护理的质量和安全性。
包括医学毕业生在内的卫生专业人员能够在工作场所开展质量和安全活动至关重要。本研究提供了证据，表明在医学院期间完成结构化临床审计能让毕业生在进入工作场所后开展质量和安全活动。其他卫生专业学院可能有兴趣在其课程中纳入类似项目。
